Chapter 8 Book Qs Flashcards
- What is the most important question to ask any patient before he or she starts antibacterial therapy?
A. When did you last eat or drink? B. Is your temperature elevated? C. Do you have any known drug allergies? D. How often do you drink alcoholic beverages?
C
- Which aminoglycoside antibacterial drug is often prescribed to treat tuberculosis?
A. streptomycin B. azithromycin (Zithromax) C. demeclocycline (Declomycin) D. trimethoprim/sulfamethoxazole (Septra)
A
- Indicate which cephalosporin drugs are third generation. (Select all that apply.)
A. cefazolin (Ancef) B. cefaclor (Ceclor) C. cefdinir (Spectracef) D. cefepime (Maxipime) E. cefuroxime (Ceftin) F. ceftriaxone (Rocephin) G. cephalexin (Keflex) H. cefpodoxime (Vantin)
C F H
- Which drug group has the adverse reactions of reducing hearing and kidney function?
A. Macrolides B. Penicillins C. Cephalosporins D. Aminoglycosides
D
- Which drugs should be avoided for newborns and infants unless an infection is so severe that it is life threatening? (Select all that apply.)
A. amikacin (Amikin) B. azithromycin (Zithromax) C. cefdinir (Omnicef) D. clarithromycin (Biaxin) E. demeclocycline (Declomycin) F. moxifloxacin (Avelox) G. penicillin G benzathine (Bicillin LA) H. trimethoprim/sulfamethoxazole (Bactrim)
A E F H
- Antibacterial drugs that are toxic to the kidneys (nephrotoxic) are more likely to be toxic to which other organ or tissue?
A. Ears B. Brain C. Liver D. Lungs
A
- Which antibacterial drug is most commonly associated with “red man syndrome”?
A. amikacin (Amikin) B. erythromycin (E-mycin) C. penicillin V potassium (Pen-VK) D. vancomycin (Vancocin)
D
- A patient prescribed to take oral penicillin tells you that all of the following problems occurred the last time she took penicillin. Which problem is a true allergic reaction?
A. Strong-smelling urine B. Hives and rash C. Oral thrush D. Diarrhea
B
- Why should a patient who has a bacterial infection and who is immunosuppressed be treated with a drug that is bactericidal rather than bacteriostatic?
A. Bacteriostatic drugs are more likely to trigger allergic responses than are bactericidal drugs.
B. Bactericidal drugs also prevent overgrowth of normal flora and bacteriostatic drugs do not exert this action.
C. The effectiveness of a bacteriostatic drug relies on the patient’s immune system to eradicate the infectious bacteria.
D. The activity of bacteriostatic drugs further suppresses the immune response and increases the risk for opportunistic infections.
C
- A patient who has been taking tetracycline for a week tells you that a cheesy white substance on the gums and roof of the mouth has appeared. What is your best suggestion?
A. “Drink at least 3 liters of water each day and avoid all dairy products while you are on this drug.” B. “Go immediately to the emergency room because this is a sign of a serious allergic reaction.” C. “Stop taking the drug and notify your prescriber because this is a sign of the beginning of an allergic reaction.” D. “Brush your teeth at least three times a day and use mouthwash to help clear this yeast infection.”
D
- When you check on a patient receiving cefazolin (Kefzol) IV 15 minutes after the drug was started, the patient tells you, “I can’t swallow, my chest hurts, and I feel like something bad is going to happen, but I don’t know what.” What do you do first?
A. Discontinue the IV. B. Notify the prescriber. C. Stop the drug infusion. D. Check the arms, chest, and back for hives or a rash.
C
- What is the most important action or precaution to teach a patient prescribed to take any antibacterial drug?
A. Always take the drug with food or milk. B. Always take the drug for as long as it was prescribed. C. Never drink caffeine or alcohol while taking an antibacterial drug. D. Be sure to swallow all antibacterial tablets whole rather than chewing them.
B
- Which drug can cause a tendon rupture in a patient who also takes a corticosteroid daily?
A. amikacin (Amikan) B. linezolid (Zyvox) C. vancomycin (Vancocin) D. levofloxacin (Levaquin)
D
- Which drugs can cause photosensitivity and increase the risk for severe sunburn? (Select all that apply.)
A. amoxicillin (Amoxil) B. cephalexin (Keflex) C. erythromycin (E-mycin) D. lomefloxacin (Maxaquin) E. minocycline (Dynacin) F. penicillin V potassium (Pen-VK) G. sulfasoxazole (Gantrisin pediatric) H. vancomycin (Vancocin)
C D E G
